[Is the relationship between depressive symptoms and work-related factors mediated by pain self-efficacy in non-specific chronic low back pain?]

IF 1.1 4区医学 Q3 ANESTHESIOLOGY

Schmerz Pub Date : 2024-10-01 Epub Date: 2023-03-09 DOI:10.1007/s00482-023-00701-0

Petra Hampel, Anne Neumann

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引用次数: 0

Abstract

Background: The transition from acute to non-specific chronic low back pain (CLBP) is especially associated with psychological factors. However, working mechanisms of psychological factors have been little examined in non-specific CLBP, especially the mediator effect of pain self-efficacy.

Objective: Does pain self-efficacy mediate the long-term prediction of work-related factors by depressive symptoms?

Methods: Within the framework of an exploratory secondary analysis, simple mediation analyses were conducted to longitudinally predict prognosis of gainful employment, as well as subjective physical and mental work ability by depressive symptoms mediated by pain self-efficacy in 382 inpatients with non-specific CLBP.

Results: The findings suggest that depressive symptoms prior to rehabilitation predicted levels of all three work-related factors 24 months after rehabilitation, and pain self-efficacy 12 months after rehabilitation mediated this relationship.

Conclusion: To improve the success of work-related rehabilitation in the long-term, pain self-efficacy in particular, but also depressive symptoms should be targeted by treatments of non-specific CLBP.

Abstract Image

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[非特异性慢性腰背痛患者的抑郁症状与工作相关因素之间的关系是否受疼痛自我效能感的影响？］

背景：从急性腰痛到非特异性慢性腰痛（CLBP）的转变尤其与心理因素有关。然而，在非特异性慢性腰背痛中，心理因素的工作机制很少被研究，尤其是疼痛自我效能感的中介效应：目的：疼痛自我效能感是否会介导抑郁症状对工作相关因素的长期预测？在探索性二次分析的框架内，对382名非特异性CLBP住院患者进行了简单的中介分析，通过抑郁症状与疼痛自我效能的中介作用来纵向预测有酬就业的预后以及主观身心工作能力：结果：研究结果表明，康复前的抑郁症状可以预测康复后24个月所有三个工作相关因素的水平，而康复后12个月的疼痛自我效能则是这种关系的中介：结论：为提高工作相关康复的长期成功率，非特异性慢性局灶性疼痛的治疗应特别关注疼痛自我效能，同时也应关注抑郁症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Schmerz 医学-临床神经学

CiteScore

2.00

自引率

20.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.